RESUMO
The authors report a case of cerebral and cerebellar metastatic renal carcinoma with 7-year survival without present evidence of recurrence following excision of both intracranial lesions and the primary lesion (by radical nephrectomy).
Assuntos
Adenocarcinoma/cirurgia , Neoplasias Encefálicas/cirurgia , Neoplasias Cerebelares/cirurgia , Neoplasias Renais/cirurgia , Adenocarcinoma/mortalidade , Neoplasias Encefálicas/mortalidade , Neoplasias Cerebelares/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade , Metástase NeoplásicaRESUMO
Injury to the spine may be either osseous, neural, or both. The neurological deficit may or may not be a reflection of the severity of the osseous injury. Patients having wide canals are more likely to have less neurological dysfunction than those having narrow canals.
Assuntos
Canal Medular/anatomia & histologia , Traumatismos da Coluna Vertebral/complicações , Adolescente , Adulto , Idoso , Humanos , Masculino , Doenças do Sistema Nervoso/etiologia , Radiografia , Traumatismos da Coluna Vertebral/diagnóstico por imagem , Traumatismos da Coluna Vertebral/fisiopatologiaRESUMO
Acute spontaneous cerebellar hemorrhage presenting with ataxia, dysarthria, vomiting, dizziness, and coma is commonly the result of hypertension. Early diagnosis is possible, and appropriate treatment, if timely executed, may be lifesaving.
Assuntos
Doenças Cerebelares/etiologia , Hemorragia/etiologia , Hipertensão/complicações , Doença Aguda , Adulto , Idoso , Doenças Cerebelares/diagnóstico , Feminino , Hemorragia/diagnóstico , Humanos , MasculinoRESUMO
Cervical spondylosis or chronic diskogenic disease of the cervical spine is a relatively common cause of myelopathy, but it is often not recognized or is incorrectly diagnosed. The clinical presentation may mimic several types of neurological disease including multiple sclerosis and amyotrophic lateral sclerosis. Even more frequently, and especially early in the course of the disease, neurologic impairment is not recognized and the symptoms are thought to be due to osteoarthritis. Early recognition of this condition is important since adequate treatment can prevent slowly progressive neurologic impairment. Knowledge of the pathophysiology of myelopathy due to cervical spondylosis and adequate radiographic evaluation will often lead to treatment that can prevent progressive spinal cord damage. Cervical spondylosis with myelopathy is one of the most frequently unrecognized and misdiagnosed, yet treatable, conditions affecting the nervous system.
Assuntos
Vértebras Cervicais , Doenças da Medula Espinal/etiologia , Espondilite/complicações , Vértebras Cervicais/diagnóstico por imagem , Humanos , Mielografia , Prognóstico , Doenças da Medula Espinal/diagnóstico , Doenças da Medula Espinal/terapia , Espondilite/etiologia , Espondilite/terapiaAssuntos
Encefalite/diagnóstico , Herpes Simples/diagnóstico , Adolescente , Adulto , Idoso , Coma/etiologia , Encefalite/complicações , Encefalite/terapia , Feminino , Herpes Simples/complicações , Herpes Simples/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Neurocognitivos/etiologiaRESUMO
Rarely, a lesion simulating a colloid cyst of the third ventricle may present with obstructive hydrocephalus and headache. Experience with an arteriovenous malformation in this location is discussed.